gms | German Medical Science

21st Annual Meeting of the German Retina Society and 8th Symposium of the International Society of Ocular Trauma (ISOT)

German Retina Society
International Society of Ocular Trauma

19.06. - 22.06.2008, Würzburg

The timing of intervention in the management of the eye with open globe trauma

Meeting Abstract

  • Ferenc Kuhn - Birmingham/USA
  • R. Morris - Birmingham/USA
  • L. Mann - Birmingham/USA
  • C.D. Witherspoon - Birmingham/USA

Retinologische Gesellschaft. International Society of Ocular Trauma. 21. Jahrestagung der Retinologischen Gesellschaft gemeinsam mit dem 8. Symposium der International Society of Ocular Trauma. Würzburg, 19.-22.06.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. DocISOTRG2008V039a

The electronic version of this article is the complete one and can be found online at:

Published: June 18, 2008

© 2008 Kuhn et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



The “when” is just an important question in the surgical intervention of eyes with posterior segment injury as is the “what”. Timing (staging) of vitreoretinal surgery is thus crucial as the management strategy is contemplated. Delaying posterior segment surgery beyond two weeks risks the development of irreversible retinal damage; performing it concommitant to wound repair (primary comprehensive reconstruction) is able to treat/prevent many retinal complications but exposes the eye to the threat of major intraoperative hemorrhage. This talks reviews the advantages and disadvantages of early vs. delayed vitreoretinal surgery in eyes with combined anterior and posterior segment injuries.